Individual provider · Type 1 NPI
Evaciaira White, AGPCNP
Nurse Practitioner · Jackson, MI
Practice location
1201 E Michigan Ave
Jackson, MI 49201-1852
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Other practice locations
- 2800 W Grand Blvd, Detroit, MI 48202-2610 · (888) 777-4167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704331165 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704331165 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1831874569
Evaciaira White, AGPCNP's National Provider Identifier is 1831874569, issued on Jun 20, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MI. The record was last updated on Nov 17, 2025.